0.1.0 - ci-build

IntegrierteVersorgungHerzinsuffizienz - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: example-02

Document Details

Generated Narrative: Bundle Patient Summary - CHI

Document Subject

Generated Narrative: Patient example-02-patient

Anton Test Male, DoB: 1951-11-12 ( Social Security Number: 0000121150)

Marital Status:married
Contact DetailAm Schulweg 5 Hainfeld 3100 AUT (home)

Document Content

Problem List

Arterielle Hypertonie

Adipositas

Vorhofflimmern

Verdachtsdiagnose: Herzinsuffizienz

Medication Summary

Ramipril 5 mg 1-0-0-0, Start 15.06.2016

Allergies and Intolerances

History of Procedures

Diagnostic Results

EKG: Anomalie, Vorhofflimmern, 15.03.2023

Vital Signs

Körpergröße: 173cm

Gewicht: 90kg

BMI: 30.07

Blutdruck: 130/80 mmHG

Puls: 85 Schläge/min

Taillenumfang: 109 cm

Social History

Raucherstatus: Nichtraucher seit 5 Jahren (40 Pack Years)

Alkoholkonsum: 1-2 Gläser Wein oder Bier/Tag

Familienanamnese: Vorzeitige koronare Herzerkrankung

Familienstatus: Verheiratet, 2 Kinder, 2 Enkelkinder

Interesse: technisch affin

Körperliche Aktivität: 2.5 Stunden pro Woche

Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:212fdc76-ccc3-40bf-8cdd-82f2ef88bd7b

Resource Composition:

Generated Narrative: Composition example-02-composition

status: Final

type: Patient summary Document

date: 2023-03-15 14:01:30+0000

author: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

title: Patient Summary - CHI

Entry 2 - fullUrl = urn:uuid:0fed5ebe-ca8f-4ad1-aba4-ddad45bd6cc8

Resource Patient:

Generated Narrative: Patient example-02-patient

Anton Test Male, DoB: 1951-11-12 ( Social Security Number: 0000121150)

Marital Status:married
Contact DetailAm Schulweg 5 Hainfeld 3100 AUT (home)

Entry 3 - fullUrl = urn:uuid:75db30ee-7028-486c-929a-c5126837f472

Resource Practitioner:

Generated Narrative: Practitioner example-02-author

identifier: URI/urn:oid:1.2.40.0.10.99.1.2.3.4

name: Hannes Hausarzt

Entry 4 - fullUrl = urn:uuid:9d1c0b74-20c1-4603-a95a-71e6a1dc8fde

Resource Condition:

Generated Narrative: Condition example-02-problem-5

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Arterielle Hypertonie

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

recordedDate: 2016-06-15 14:01:30+0000

Entry 5 - fullUrl = urn:uuid:8d3a18fb-3610-4bfb-9aa4-1169cc6dd2dd

Resource Condition:

Generated Narrative: Condition example-02-problem-7

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Adipositas

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

recordedDate: 2023-01-01 14:00:00+0000

Entry 6 - fullUrl = urn:uuid:32d90aaa-6577-4c5d-9771-d8f606ebf0b9

Resource Condition:

Generated Narrative: Condition example-02-problem-9

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Vorhofflimmern

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

recordedDate: 2023-03-15 14:01:30+0000

Entry 7 - fullUrl = urn:uuid:A3A9BE59-EC61-4CAB-92A9-9CBAB6AEC437

Resource Condition:

Generated Narrative: Condition example-02-problem-10

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Verdachtsdiagnose: Herzinsuffizienz

subject: urn:uuid:185A4ECA-B5F0-4E05-9020-54AE412A091F

recordedDate: 2023-03-15 14:01:30+0000

Entry 8 - fullUrl = urn:uuid:6d15d84f-2faf-4141-ac0c-fb9cf8496abe

Resource MedicationStatement:

Generated Narrative: MedicationStatement example-02-medication-summary-7

status: recorded

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2016-06-15 10:31:58+0200 --> (ongoing)

Dosages

-Text
*S:1-0-0-0

Entry 9 - fullUrl = urn:uuid:75c46c35-8f4e-4232-b026-5672c60d076a1

Resource Observation:

Generated Narrative: Observation example-02-diagnostic-result-2

status: Final

code: EKG

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-03-15 14:01:30+0100

value: Anomalie: Vorhofflimmern

Entry 10 - fullUrl = urn:uuid:74c5e186-d765-4c93-a624-c9b0746e8142

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-1

status: Final

code: Körpergröße

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: 173 cm (Details: UCUM codecm = 'cm')

Entry 11 - fullUrl = urn:uuid:428259da-e0f7-4780-b1e3-c177515edd37

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-2

status: Final

code: Körpergewicht

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: 90 kg (Details: UCUM codekg = 'kg')

Entry 12 - fullUrl = urn:uuid:daf9c15d-14d4-429c-b658-6842fdff67d8

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-3

status: Final

code: Body-Mass-Index

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: 30.07 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

interpretation: High

Entry 13 - fullUrl = urn:uuid:8248cc70-65a2-4d37-ae14-a3ef2abf8f32

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-4

status: Final

code: Blutdruck

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

component

code: Systolic blood pressure

value: 130 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

component

code: Diastolic blood pressure

value: 80 mm[Hg] (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 14 - fullUrl = urn:uuid:4d3f7ac4-fd0a-49af-a56b-303a2dbe67d1

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-5

status: Final

code: Puls

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: 85 /min (Details: UCUM code/min = '/min')

Entry 15 - fullUrl = urn:uuid:be35e603-6b99-4bb5-ad70-8499f6b55df1

Resource Observation:

Generated Narrative: Observation example-02-vital-sign-6

status: Final

code: Taillenumfang

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: <109 cm (Details: UCUM codecm = 'cm')

Entry 16 - fullUrl = urn:uuid:d0a5bbf1-6d01-4d44-bac5-05f12c98411e

Resource Observation:

Generated Narrative: Observation example-322-social-history-1

status: Final

code: Alkoholkonsum

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: 1-2 Gläser Wein oder Bier/Tag

Entry 17 - fullUrl = urn:uuid:5c5f6c1f-e55a-4784-945a-ef454bd8a044

Resource Observation:

Generated Narrative: Observation example-02-social-history-1

status: Final

code: Raucherstatus

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: Nichtraucher seit 5 Jahren (40 Pack Years)

Entry 18 - fullUrl = urn:uuid:e66d8ac1-a124-4e94-be22-969c9b117ce5

Resource Observation:

Generated Narrative: Observation example-01-social-history-1

status: Final

code: Familienanamnese

subject: urn:uuid:5ACF81A0-ED49-4774-94A1-F7E47C1BC56A

effective: 2023-01-01 14:00:00+0000

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: Vorzeitige koronare Herzerkrankung

Entry 19 - fullUrl = urn:uuid:CBA1F802-851B-46FB-BE7D-781BE4198E15

Resource Observation:

Generated Narrative: Observation example-03-social-history-1

status: Final

code: Familienstatus

subject: urn:uuid:991A9685-5481-488E-A7B1-7F93581425EA

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: Verheiratet

Entry 20 - fullUrl = urn:uuid:0317A71F-6573-450F-BFA7-F2728EA7A8CC

Resource Observation:

Generated Narrative: Observation example-04-social-history-1

status: Final

code: Angaben zu eigenen Kindern

subject: urn:uuid:F3BF9543-E773-4462-9873-E44D79986EFB

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: Anzahl der Nachkommen: Kinder:2, Enkelkinder:2

Entry 21 - fullUrl = urn:uuid:feb8751e-3baa-4f49-8d9e-1cd32a6c6dac

Resource Observation:

Generated Narrative: Observation example-05-social-history-1

status: Final

code: Intersse

subject: urn:uuid:5ACF81A0-ED49-4774-94A1-F7E47C1BC56A

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: technisch affin

Entry 22 - fullUrl = urn:uuid:9add5c32-1ded-43d6-b163-c3fe13f94984

Resource Observation:

Generated Narrative: Observation example-06-social-history-2

status: Final

code: Körperliche Aktivität

subject: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

effective: 2023-01-01 14:00:00+0100

performer: Bundle: identifier = http://system-to-be-defined.com#63fef90a-be11-4ddf-aece-d77da15c4f20; type = document; timestamp = 2024-02-08 14:01:30+0000

value: >2.5 h (Details: UCUM codeh = 'h')/1 wk (Details: UCUM codewk = 'wk')